Classen Sherrilene, Monahan Miriam, Canonizado Maria, Winter Sandra
Sherrilene Classen, PhD, MPH, OTR/L, FAOTA, is Adjunct Professor, Institute for Mobility, Activity and Participation and Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, and Professor and Chair, School of Occupational Therapy, Western University, Elborn College, 1201 Western Road, London, Ontario N6G 1H1 Canada;
Miriam Monahan, MS, OTR/L, CDRS, is Adjunct Scholar and Certified Driving Rehabilitation Specialist, Institute for Mobility, Activity and Participation and Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, Gainesville.
Am J Occup Ther. 2014 Jul-Aug;68(4):405-11. doi: 10.5014/ajot.2014.010041.
Many combat veterans are injured in motor vehicle crashes shortly after returning to civilian life, yet little evidence exists on effective driving interventions. In this single-subject design study, we compared clinical test results and driving errors in a returning combat veteran before and after an occupational therapy driving intervention. A certified driving rehabilitation specialist administered baseline clinical and simulated driving assessments; conducted three intervention sessions that discussed driving errors, retrained visual search skills, and invited commentary on driving; and administered a postintervention evaluation in conditions resembling those at baseline. Clinical test results were similar pre- and postintervention. Baseline versus postintervention driving errors were as follows: lane maintenance, 23 versus 7; vehicle positioning, 5 versus 1; signaling, 2 versus 0; speed regulation, 1 versus 1; visual scanning, 1 versus 0; and gap acceptance, 1 versus 0. Although the intervention appeared efficacious for this participant, threats to validity must be recognized and controlled for in a follow-up study.
许多退伍军人在重返平民生活后不久就会在机动车事故中受伤，但关于有效的驾驶干预措施的证据却很少。在这项单受试者设计研究中，我们比较了一名退伍军人在职业治疗驾驶干预前后的临床测试结果和驾驶错误。一名认证的驾驶康复专家进行了基线临床和模拟驾驶评估；开展了三次干预课程，讨论驾驶错误、重新训练视觉搜索技能并邀请对驾驶进行评论；并在类似于基线的条件下进行了干预后评估。干预前后临床测试结果相似。基线与干预后的驾驶错误如下：车道保持，23次对7次；车辆定位，5次对1次；信号使用，2次对0次；速度调节，1次对1次；视觉扫描，1次对0次；以及间隙接受，1次对0次。尽管该干预措施对该参与者似乎有效，但在后续研究中必须认识到并控制有效性的威胁。
